Provider Demographics
NPI:1932363488
Name:LAMBERT, PATTI F (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:F
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BALMORAL DR
Mailing Address - Street 2:
Mailing Address - City:POPLARVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39470-3344
Mailing Address - Country:US
Mailing Address - Phone:601-273-0879
Mailing Address - Fax:601-795-2025
Practice Address - Street 1:9 BALMORAL DR
Practice Address - Street 2:
Practice Address - City:POPLARVILLE
Practice Address - State:MS
Practice Address - Zip Code:39470-3344
Practice Address - Country:US
Practice Address - Phone:601-273-0879
Practice Address - Fax:601-795-2025
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS0740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist